Organization
EXPRESS VISION CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL LOPEZ LDO (OPTICIAN)
(786) 587-7404
Entity
Organization
Contact information
Practice address
1550 W 84TH ST STE 15, HIALEAH, FL 33014-3368
(786) 587-7404
Mailing address
1550 W 84TH ST STE 15, HIALEAH, FL 33014-3368
(786) 587-7404
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO6361
FL
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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